Evidence map›Paper›PMID 22130804›Full record

ArticleBlood2012

Hydroxyurea therapy of a murine model of sickle cell anemia inhibits the progression of pneumococcal disease by down-modulating E-selectin.

Jeffrey D Lebensburger, Thad Howard, Yunming Hu, Tamara I Pestina, Geli Gao, Melissa Johnson, Stanislav S Zakharenko, Russell E Ware, Elaine I Tuomanen, Derek A Persons and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Pathophysiology of Sickle Cell Disease.Annual review of pathology · 2019
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Inflammatory targets of therapy in sickle cell disease.Translational research : the journal of laboratory and clinical medicine · 2016
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Jeffrey D LebensburgerDepartment of Hematology, St Jude Children's Research Hospital, Memphis, TN, USA.
Thad Howard
Yunming Hu
Tamara I Pestina
Geli Gao
Melissa Johnson
Stanislav S Zakharenko
Russell E Ware
Elaine I Tuomanen
Derek A Persons
Jason W Rosch
Imaging Center · USSt. Jude Children's Research Hospital · US

Funding

VIROSOME/PROTEOLIPOSOME MEDIATED GENE TRANSFERP01HL053749 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI GOTTSCHALK, STEPHEN · 1994 to 2022
$43.6M
Y-Globin Gene Therapy Using In Vivo SelectionU54HL070590 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WARE, RUSSELL E · 2003 to 2011
$13.8M
PNEUMOCOCCAL CELL WALL IN MENINGITISR01AI027913 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI TUOMANEN, ELAINE I · 1989 to 2015
$5.2M
Trans-synaptic interactions during synaptic plasticity in the hippocampusR01MH079079 · NIMH · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI ZAKHARENKO, STANISLAV S · 2008 to 2012
$1.9M
Hydroxyurea Pharmacokinetics and PharmacogenomicsR01HL090941 · NHLBI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WARE, RUSSELL E · 2008 to 2011
$1.5M
Bacterial cation exporters: a new signaling paradigm for bacterial virulenceF32AI082888 · NIAID · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI ROSCH, JASON W. · 2009 to 2010
$102k
NHLBI NIH HHS P01 HL053749NHLBI NIH HHS R01 HL-090941NHLBI NIH HHS R01 HL090941NHLBI NIH HHS U54 HL-070590NHLBI NIH HHS U54 HL070590NIAID NIH HHS F32 AI082888NIAID NIH HHS R01 AI027913NIAID NIH HHS R01 AI27913NIMH NIH HHS R01 MH-079079NIMH NIH HHS R01 MH079079
6 · The paper itself

Abstract

Sickle cell anemia is characterized by chronic hemolysis coupled with extensive vascular inflammation. This inflammatory state also mechanistically promotes a high risk of lethal, invasive pneumococcal infection. Current treatments to reduce vaso-occlusive complications include chronic hydroxyurea therapy to induce fetal hemoglobin. Because hydroxyurea also reduces leukocytosis, an understanding of the impact of this treatment on pneumococcal pathogenesis is needed. Using a sickle cell mouse model of pneumococcal pneumonia and sepsis, administration of hydroxyurea was found to significantly improve survival. Hydroxyurea treatment decreased neutrophil extravasation into the infected lung coincident with significantly reduced levels of E-selectin in serum and on pulmonary epithelia. The protective effect of hydroxyurea was abrogated in mice deficient in E-selectin. The decrease in E-selectin levels was also evident in human sickle cell patients receiving hydroxyurea therapy. These data indicate that in addition to induction of fetal hemoglobin, hydroxyurea attenuates leukocyte-endothelial interactions in sickle cell anemia, resulting in protection against lethal pneumococcal sepsis.

Indexed as

Anemia, Sickle CellAnimalsAntisickling AgentsChildDisease Models, AnimalE-SelectinFemaleHumansHydroxyureaImmunohistochemistryLungMiceMice, Inbred C57BLMice, KnockoutMicroscopy, FluorescenceNeutrophilsAntisickling AgentsE-SelectinHydroxyurea

Identifiers

PMID22130804
PMCPMC3293645
OpenAlexW2065727769

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.